Individual
MRS. ELIZABETH MATTOON KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
1218 E LANCASTER AVE, BRYN MAWR, PA 19010-2616
(610) 519-1920
Mailing address
1218 E LANCASTER AVE, BRYN MAWR, PA 19010-2616
(610) 519-1920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015394
PA
363LP2300X
Primary Care Nurse Practitioner
SP015394
PA
Other
Enumeration date
11/24/2015
Last updated
01/18/2017
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